Volume : III, Issue : I, January - 2013

Laparoscopic Management of Bouveret’s Syndrome With Cholecysto–duodenal Fistula – A rare case report

Dr. Aditya Yelikar, Abdul Quayyum Khan, Pravin Suryawanshi

Abstract :

A rare case of gastric outlet obstruction secondary to a large gall stone (Bouveret’s syndrome) presenting with abdominal pain,vomiting was reported . she underwent ERCP 1 year back for CBD stones and distal CBD stricture . the stones were removed and a stent was placed across the stricture . after 1 year she was taken up for CBD stent removal but surprisingly there was a large impacted stone in the pylorus . the endoscopic removal of the stone was unsuccessful because of the large size of the stone that got stuck up in pylorus .the patient was managed surgically by laparoscopic CBD exploration with enterotomy with cholecystectomy and fistulectomy with primary closure of the duodenal defect. The procedure was uneventful . she was discharged home well . thus we can say that Bouveret’s syndrome should be managed endoscopically and if failed laparoscopic management can be attempted successfully .  

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Aditya Yelikar, Abdul Quayyum Khan, Pravin Suryawanshi Dr. Aditya Yelikar, Abdul Quayyum Khan, Pravin Suryawanshi Indian Journal of Applied Research, Vol.III, Issue.I January 2013

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